Gelana L Mccloud, LCPC | |
333 Margaret St, Pekin, IL 61554-3268 | |
(309) 407-7771 | |
(309) 620-8623 |
Full Name | Gelana L Mccloud |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 333 Margaret St, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033644851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.010622 (Illinois) | Primary |
Entity Name | Gk Enterprise Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568228682 PECOS PAC ID: 4789129941 Enrollment ID: O20240711002455 |
Mailing Address | Practice Location Address |
---|---|
Gelana L Mccloud, LCPC 333 Margaret St, Pekin, IL 61554-3268 Ph: (309) 407-7771 | Gelana L Mccloud, LCPC 333 Margaret St, Pekin, IL 61554-3268 Ph: (309) 407-7771 |
Mrs. Renee R Lawson, RSA DSP CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-4280 | |
Stacie Billingsley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 State St, Pekin, IL 61554 Phone: 309-648-0782 | |
Mr. Robert John Mooney, LPC MA Counselor Medicare: Medicare Enrolled Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-1148 Fax: 309-347-1298 | |
Mr. Patrick Timothy Hayes, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Joan Wenzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3249 Barney Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-7302 | |
Patrick Durkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 |